What is Pre-Existing Condition Travel Insurance Coverage?


Travel insurance can cover pre-existing medical conditions if you buy early and meet strict waiver requirements. 

Learn how pre-existing condition coverage and exclusions work.

Updated: December 8, 2025

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Key Takeaways
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Most travel insurance plans exclude pre-existing conditions unless you qualify for a time-sensitive pre-existing condition waiver.

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To qualify for a waiver, you usually must buy early, insure 100% of prepaid trip costs and be medically able to travel.

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Major insurers offer waivers, but rules and purchase windows vary by company and plan.

Pre-existing condition travel insurance coverage protects travelers who have medical conditions diagnosed or treated before their trip. This page explains what it covers, how waivers work, and when you need this protection.

What Pre-Existing Conditions Travel Insurance Covers

"Pre-existing conditions travel insurance" isn't a separate product. The term describes travel insurance policies that offer coverage for medical issues you already had before you bought the plan.

Most comprehensive travel insurance plans include trip cancellation, trip interruption, emergency medical coverage, and emergency medical evacuation. These benefits often exclude claims tied to pre-existing medical conditions unless you meet specific requirements through:

  • A pre-existing medical condition exclusion waiver, or
  • A more limited acute onset of a pre-existing condition benefit.

Coverage comparison: Waiver vs. Acute Onset

Trip Cancellation
Covered for pre-existing conditions
Not covered
Trip Interruption
Covered for pre-existing conditions
Not covered
Emergency Medical Treatment
Covered for pre-existing conditions
Emergency flare-ups only
Emergency Medical Evacuation
Covered for pre-existing conditions
Emergency stabilization only
Age Restrictions
Typically none
Often applies to seniors
Coverage Limits
Full policy limits
Reduced limits

When you qualify for a pre-existing condition exclusion waiver, your pre-existing condition gets treated like any other covered illness or injury. The insurer can't use the look-back period to deny covered claims tied to your pre-existing condition.

Policies with only acute onset of a pre-existing condition coverage limit benefits to sudden, unexpected flare-ups. These benefits apply only to emergency stabilization and short-term treatment, often include age limits for older travelers, and provide narrower protection than a full waiver. This benefit helps with unexpected complications but doesn't offer the broader trip cancellation or interruption protection that a waiver provides.

What's not covered, even with a waiver

High-risk or degenerative conditions
Progressive worsening expected
Specialized medical travel insurance
Some mental health conditions
Varies by insurer definition
Check plan-specific mental health provisions
Routine childbirth
Not considered emergency
Maternity travel insurance riders
Alcohol/drug-related illness
Voluntary risk assumption
None
Unstable or uncontrolled conditions
Can't meet "medically able to travel" requirement
Delay travel until stable

Note: The plan's certificate of insurance has the final word on what's covered.

How Insurers Define Pre-Existing Conditions

Wording varies by company, but most share common elements:

  • The condition existed before you bought the policy.
  • You had symptoms, diagnosis, treatment, tests, or medication changes during a look-back period (often 60-180 days before purchase).
  • The insurer uses that look-back period to decide whether the issue counts as pre-existing.

Common pre-existing conditions

Cardiovascular
Heart disease, high blood pressure
Recent medication changes, test results
Respiratory
Asthma, COPD
Flare-ups, new prescriptions
Chronic Metabolic
Diabetes, thyroid conditions
Blood sugar changes, dosage adjustments
Congenital
Birth defects, genetic conditions
Ongoing treatment, recent complications
Mental Health
Depression, anxiety disorders
New medications, therapy changes
Pregnancy
Any pregnancy existing before purchase
Trimester, complications history

Note: Review the plan document when you have any ongoing or past health issues, since definitions differ across insurers.

How Pre-Existing Condition Waivers Work

A pre-existing condition exclusion waiver is a time-sensitive feature that removes the standard pre-existing condition exclusion when you meet specific requirements.

Typical waiver requirements

Purchase Window
10-21 days after first trip payment
Some allow up to 30 days; others only 10
Trip Cost Coverage
Must insure 100% of prepaid, nonrefundable costs
Some allow partial coverage with reduced benefits
Medical Stability
Must be medically able to travel at purchase
Definition of "able to travel" varies
Look-Back Period
60-180 days before purchase
Shorter periods more favorable
Additional Cost
Usually included at no extra charge
Rare exceptions charge premium

Waivers are usually included at no extra cost, but only if you meet these rules at the time of purchase.

Companies Offering Pre-existing Condition Waivers

The table below shows which companies offer waivers and when you must buy a plan to qualify. Exact availability varies by plan and state, so treat this as a high-level guide, not a substitute for the plan document.

Allianz
Yes
Within 14 days of first trip payment
Must be medically able to travel; waiver built into eligible plans.
Travel Guard
Yes
Within 15 days
Must insure full trip cost and buy early.
AXA Assistance
Yes (higher tiers)
Within 14 days
Applies only to medically stable conditions under plan rules.
Travelex
Yes (Ultimate plan)
Within 21 days
Requires insuring full prepaid costs.
Seven Corners
Yes (Choice/Elite)
Within 20 days
Must insure all prepaid nonrefundable costs.
Nationwide
Yes
Often 10-21 days
Varies by plan; must be medically able to travel.
Berkshire Hathaway
Yes
Within 15 days
Must insure full trip cost and meet medical-eligibility rules.
WorldTrips
Yes
Within 21 days
Waives look-back if purchased early and you're fit to travel.
Tin Leg
Yes (select plans)
Often 15 days
Must insure full trip cost; varies by plan.
Travel Insured International
Yes
Time-sensitive (plan-specific)
Rules vary by tier and state; must buy early.

Note: Always confirm in the certificate of insurance.

How to qualify for a waiver

  1. 1
    Document your medical history.

    List diagnoses, treatments, medication changes and hospital visits from the past 180 days. Insurers use this period to determine pre-existing status.

  2. 2
    Review policy language carefully.

    Look for "pre-existing condition exclusion," "waiver," or "early purchase benefit" terms in the plan certificate. Different definitions affect your coverage, so note the look-back period specific to each plan you're considering.

  3. 3
    Buy early.

    Purchase within 10-21 days of your first trip payment. Missing this window eliminates waiver eligibility. The clock starts from your first trip payment, not when you finish booking your entire trip.

  4. 4
    Insure your full trip cost.

    Cover 100% of prepaid, nonrefundable costs. Some insurers allow partial coverage with reduced benefits, but most require full trip cost coverage for the waiver to apply.

  5. 5
    Confirm you're medically able to travel.

    You must be medically fit to travel when you purchase. Insurers often require you aren't seeking or awaiting treatment for the condition at the time of purchase.

  6. 6
    Check age limits and exclusions.

    Some plans reduce benefits or restrict coverage for certain age groups or conditions. Review these limitations before buying to ensure the coverage meets your needs.

  7. 7
    Disclose your medical history fully.

    Provide complete medical history. Non-disclosure voids coverage and commonly causes claim denials.

When You Need Pre-Existing Condition Coverage

You can usually buy travel insurance even if you have pre-existing medical conditions. The question is whether the insurer will cover cancellations, interruptions, or medical bills tied to those conditions.

A waiver is especially valuable for:

  • Travelers with chronic health issues
  • Older travelers
  • People with nonrefundable trips, cruises, or tours
  • Anyone traveling somewhere with high medical costs

If your condition is stable and low-risk, you may decide the standard exclusion is acceptable. But for many travelers, having coverage for known medical issues brings financial protection.

How much coverage you need

There's no single recommended dollar amount for every traveler. Consider these factors:

  • Emergency medical coverage: Choose a limit that reflects realistic hospitalization costs in the destination you're visiting. Learn what travel insurance covers for medical emergencies.
  • Emergency evacuation coverage: Critical for travelers with complex medical needs. Medical evacuations can cost $50,000 or more, depending on your location.
  • Trip cancellation/interruption: Make sure your full nonrefundable trip cost is protected. This includes flights, hotels, tours, and any prepaid activities.

If your health history increases the likelihood you'll need to cancel or seek care, choosing higher limits reduces your financial risk.

Pre-Existing Condition Coverage FAQ

Does travel insurance cover pre-existing conditions?

What is a look-back period in travel insurance?

What happens if my medication changes before my trip?

Does a pre-existing condition waiver cost extra?

Can insurers deny a claim if I didn't disclose my medical history?

About Mark Fitzpatrick


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Mark Fitzpatrick, a Licensed Property and Casualty Insurance Producer, is MoneyGeek's resident Personal Finance Expert. He has analyzed the insurance market for over five years, conducting original research for insurance shoppers. His insights have been featured in CNBC, NBC News and Mashable.

Fitzpatrick holds a master’s degree in economics and international relations from Johns Hopkins University and a bachelor’s degree from Boston College. He's also a five-time Jeopardy champion!

He writes about economics and insurance, breaking down complex topics so people know what they're buying.


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